Dr. Wang Shouji reply Orthopedics Question - Page 8

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Rehabilitation Techniques for Elbow and Ankle Fractures After Car Accidents

Rehabilitation after a fracture from a car accident? I would like to ask what methods can be used for mobility and movement with a left elbow (olecranon) fracture and a left ankle fracture.


Dr. Wang Shouji reply Orthopedics
Hello, please start with joint exercises, and you will be able to bear weight and walk normally once the fracture has healed. Changhua Hospital cares about your health. Wang Shou-ji.

[Read More] Rehabilitation Techniques for Elbow and Ankle Fractures After Car Accidents


Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture

Postoperative care for tibial plateau fractures? Hello, I sustained a tibial plateau fracture in April 2020 and underwent arthroscopy and repair of the fractured plateau, along with the placement of artificial bone and steel nails. The plates and screws were removed in December o...


Dr. Wang Shouji reply Orthopedics
Hello, intra-articular fractures may lead to post-traumatic arthritis as a sequela. It largely depends on the condition of the joint after the fracture. Applying heat therapy may help, but if there is no improvement, it is advisable to consider arthroscopy to assess the intra-art...

[Read More] Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture


Understanding Asymmetrical Chest Bones in Teenage Boys: Causes and Solutions

The protrusion of the left side of a boy's chest compared to the right side could be due to several reasons. One possibility is a condition known as pectus carinatum, where the breastbone protrudes outward. Another potential cause could be asymmetry in the rib cage or muscle...


Dr. Wang Shouji reply Orthopedics
Hello, if there is asymmetry in the breasts, the first thing to consider is whether there is a spinal deformity causing it. If the asymmetry is purely cosmetic and there is no discomfort, generally no special treatment is required. Changhua Hospital cares about your health. Wang ...

[Read More] Understanding Asymmetrical Chest Bones in Teenage Boys: Causes and Solutions


Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained

I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...


Dr. Wang Shouji reply Orthopedics
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...

[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained


Post-Surgery Care and Concerns After Lumbar Fusion: A Guide

What are the issues after lumbar fusion surgery? Currently, my doctor said I can go jogging and do some stretching, but I should avoid bending over and lifting heavy objects. His responses were quite brief, probably because he is too busy to provide detailed information. My lumba...


Dr. Wang Shouji reply Orthopedics
Hello, after spinal fusion, it is important to check if the fusion has been completed. If the fusion is successful, engaging in some core muscle training should not pose significant issues. If sitting in a chair is uncomfortable, feel free to change it. Lumbar fusion will inevita...

[Read More] Post-Surgery Care and Concerns After Lumbar Fusion: A Guide


Recovery Time for Non-Displaced Sacral and Pubic Bone Fractures

Fractures from a car accident? For a left sacral fracture and a left pubic bone fracture (non-displaced, non-surgical), how long should one remain in bed before being able to sit up?


Dr. Wang Shouji reply Orthopedics
Hello, the bone injury here does not prevent you from sitting up, but you should accommodate your symptoms and sit in a comfortable position. Walking is also possible, but you may need to use a cane or walker for support to reduce symptoms. Changhua Hospital cares about your heal...

[Read More] Recovery Time for Non-Displaced Sacral and Pubic Bone Fractures


Pain While Walking and Difficulty Squatting After a Fall: What to Do?

Pain while walking and inability to squat? Hello, doctor. I would like to ask about an incident where my coat got caught on a plastic red chair, causing me to fall to the ground. When I got up, I experienced significant pain, and walking feels like I might have a strain or someth...


Dr. Wang Shouji reply Orthopedics
Hello, symptoms of coccyx injury can last from several days to months. Avoid prolonged sitting, as well as riding motorcycles or bicycles, to prevent irritation of the painful area. If the pain is significant in daily life, some medications can be used to alleviate the symptoms. ...

[Read More] Pain While Walking and Difficulty Squatting After a Fall: What to Do?


Managing Spondylolysis and Spondylolisthesis: Key Questions Answered

How should lumbar spondylolysis with spondylolisthesis be managed? Hello Doctor, I previously visited for lower back pain, and the doctor mentioned that I have a lumbosacral fifth vertebra arch dissociation. During my recent follow-up, the doctor indicated that I have signs of sp...


Dr. Wang Shouji reply Orthopedics
Hello, strengthening the core muscles is essential. If there is significant low back pain and lower limb numbness, and it progresses to a grade II spondylolisthesis, the likelihood of requiring surgical reduction and fixation is high. The success rate for repair after progressing...

[Read More] Managing Spondylolysis and Spondylolisthesis: Key Questions Answered


Left Rib Protrusion and Occasional Pain: When to Seek Medical Advice?

The left rib cage is noticeably more protruded than the right side and occasionally experiences pain? Hello doctor, about a year after giving birth, I noticed that my left rib is protruding, and it is visible without needing to suck in my stomach. Now, two years postpartum, I occ...


Dr. Wang Shouji reply Orthopedics
Hello, most adult ribs do not change shape significantly after maturity unless there is trauma. If you experience discomfort, you may consult a thoracic surgeon. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.

[Read More] Left Rib Protrusion and Occasional Pain: When to Seek Medical Advice?


Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact

Does pelvic rotation cause a feeling of walking with a tilt? Dear Doctor: I have always had a habit of exercising, but due to the pandemic, I was unable to exercise for over two months starting from May 16. With long hours of sitting at work, I have been experiencing tightness in...


Dr. Wang Shouji reply Orthopedics
Hello, if there is asymmetry in the length of the lower limbs, it can lead to unequal exertion on both sides. However, the underlying cause needs to be further investigated. If this issue did not exist before but has now developed, it may require a period of rest and rehabilitati...

[Read More] Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact


Recovery Timeline for Pelvic and Sacral Fractures: What to Expect

Fractures from a car accident? Sacral and pubic bone fractures are currently being managed with bed rest as advised by the doctor. When can I expect to be able to sit up or use a wheelchair? Will this affect my menstrual cycle (as it was regular before the injury and is now delay...


Dr. Wang Shouji reply Orthopedics
Hello, for fractures of the sacrum and pubis, you may attempt to sit and stand while walking, but avoid excessive pressure on the fracture site. It is advisable to discuss with your physician, as the recovery time may vary depending on the severity of the fracture. Changhua Hospi...

[Read More] Recovery Timeline for Pelvic and Sacral Fractures: What to Expect


Post-Surgery Pain in Orthopedic Patients: Is It Normal?

Post-surgery..? Hello doctor, I would like to ask a question. My husband fell from a ladder while working at a construction site on September 28. The doctor said he shattered his heel and had donor bone implanted, along with a plate and screws. It has been over a month now, but s...


Dr. Wang Shouji reply Orthopedics
Hello, calcaneal fractures can cause swelling and pain in the heel for several months. Initially, there may be a sharp pain when putting weight on the heel. It is advisable to shift your weight forward to the front of the foot. After the fracture heals, most symptoms will gradual...

[Read More] Post-Surgery Pain in Orthopedic Patients: Is It Normal?


Recovering from Pelvic Fractures: Tips for Home Care and Mobility

Pelvic fracture About 10 days ago, I suffered a pelvic fracture due to a car accident. However, the doctor said that surgery is not necessary and that I just need to rest at home for a month. I usually use a bedside commode for toileting and sometimes sit to eat and read. I don&#...


Dr. Wang Shouji reply Orthopedics
Hello, if a pelvic fracture does not affect the joints, it is often managed non-surgically. However, if weight-bearing activities are limited, early mobilization with the assistance of a walker is recommended to reduce muscle atrophy and accelerate recovery. It is advisable to di...

[Read More] Recovering from Pelvic Fractures: Tips for Home Care and Mobility


Can Surgery Improve Shoulder Appearance After Congenital Scapular Elevation?

Can surgical intervention for congenital high scapula improve the appearance of the shoulder? I'm sorry to hear about your brother's situation. He can consult with an orthopedic surgeon or a plastic surgeon who specializes in reconstructive surgery. They can evaluate hi...


Dr. Wang Shouji reply Orthopedics
Hello, if there is no shoulder joint mobility impairment, treatment is not recommended. Surgery is only suggested if it affects shoulder joint mobility. Therefore, these symptoms are often due to congenital multifactorial causes, commonly including thoracic spine deformities, and...

[Read More] Can Surgery Improve Shoulder Appearance After Congenital Scapular Elevation?


Understanding Metacarpal Fractures: Symptoms and Recovery Insights

Metacarpal fracture issues? On October 14, I had a car accident resulting in a fracture of the third metacarpal bone in my left hand (no surgery, just a cast for immobilization; on October 19, it was changed to a supportive brace). 1. Currently, I experience a tingling and numb...


Dr. Wang Shouji reply Orthopedics
Hello, after a fracture, swelling and numbness in the distal area are often caused by swelling and lack of movement. These symptoms should improve once normal activity is resumed. Such fractures typically do not affect arterial blood supply, and applying heat may help alleviate t...

[Read More] Understanding Metacarpal Fractures: Symptoms and Recovery Insights


Post-Surgery Arm Sling Use: Managing Shoulder and Neck Discomfort

Postoperative use of a sling can lead to shoulder and neck discomfort? Hello Doctor, I had a car accident on October 7th and sustained a fracture of my left clavicle. I was taken to the hospital that day and received a self-paid plate fixation. I am currently resting at home. I w...


Dr. Wang Shouji reply Orthopedics
Hello, if you experience back pain from using a triangular bandage arm sling for an extended period, you may not need to wear it if your left arm is supported. It is also acceptable not to use it while sleeping. Mild pain at the surgical site is normal, but if you experience seve...

[Read More] Post-Surgery Arm Sling Use: Managing Shoulder and Neck Discomfort


Understanding Finger Pain and Stiffness: When to Seek Medical Help

Pain in the proximal interphalangeal joint of the finger, with stiffness most pronounced in the morning? I recently started a new job that requires me to hold a grinder with one hand for long periods. After three months of this, I am experiencing significant pain in the first joi...


Dr. Wang Shouji reply Orthopedics
Hello, improper or prolonged exertion on the joints of the hands can lead to symptoms such as pain, heat, and stiffness. It is important to pay attention to the usage of your hands, as prolonged misuse can result in chronic inflammation and may even lead to chronic conditions suc...

[Read More] Understanding Finger Pain and Stiffness: When to Seek Medical Help


Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options

Supraspinous ligamentitis (strain) Hello Dr. Wang, I have been experiencing lower back pain for over three to four months. I have undergone a series of related examinations, including MRI and ultrasound, which ruled out conditions such as HIV, ankylosing spondylitis, and metastat...


Dr. Wang Shouji reply Orthopedics
Hello, if the more serious issues mentioned above are ruled out, please pay attention to your posture by keeping your head up and chest out. Strengthening your abdominal and back muscles, along with applying heat, should help alleviate the discomfort. In the long term, it is impo...

[Read More] Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options


Is Severe Swelling Normal After a Toe Fracture on Day Three?

The third day after a toe fracture, the foot is extremely swollen? On the National Day of Double Tenth, I had an accident and fractured the third toe on my right foot. There was no displacement, and the doctor said a cast would be sufficient. However, when I had the bandage remov...


Dr. Wang Shouji reply Orthopedics
Hello, fractures in the lower limbs are accompanied by swelling, which is unavoidable. Elevating the lower limbs above the level of the heart while sleeping can help alleviate this. However, swelling may recur during the day when getting out of bed and can persist for two to thre...

[Read More] Is Severe Swelling Normal After a Toe Fracture on Day Three?


Understanding Fourth Toe Shortening: Treatment Options and Costs

Fourth toe short toe syndrome with unequal lengths of the toes on both feet? Hello Doctor, my left foot's fourth toe is shorter than the fifth toe. The lengths of the fourth toes on both feet are different, which affects my appearance and has psychological impacts. For some ...


Dr. Wang Shouji reply Orthopedics
Hello, most limb lengthening surgeries are performed when there is a discrepancy in length between the femur and tibia or between the limbs. It is impossible to perform the surgery without leaving any scars, and the decision depends on the degree of length difference. In severe c...

[Read More] Understanding Fourth Toe Shortening: Treatment Options and Costs


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